When dealing with Citizenship and Immigration Canada (CIC) one is often presented with what seems like a Kafka-esque set of requirements.
In all fairness, for the vast majority of applicants, there are few problems because their case is straight-forward and can be quickly and easily evaluated.
Of course, those of us who find complications can experience what often seems like an impenetrable maze of highly subjective rules, regulations, etc. That certainly applies in the case of medical inadmissibility.
I had a great time meeting with an old friend yesterday. Over drinks we caught up with each other’s lives. He has just recently applied for Canadian citizenship. An American originally, he went through the sponsored spousal category. I was surprised when he told me that it required 24 months to complete everything. I recall how nervous he was towards the end (he had a work permit, but his employer had laid him off.)
It turns out he ran into pretty much the same issue that I’m facing. He found out about his condition shortly before he submitted his application for permanent residency (so at least not as part of the immigration physical.) What surprised me is how many “hoops” he had to jump through in order to be successful. This included a requirement that he be on medication and that he sign affidavits guaranteeing that he and his spouse were monogamous and that they would practice safe sex. To be blunt, I was aghast at such requirements. It seems highly invasive for any government to impose such requirements on a rather personal and intimate relationship.
Of course, I find this ironic – in the case of a skilled worker, a personal guarantee to pay for a public service is discounted. So why would a personal guarantee as to sexual conduct between spouses be considered valid?
I have not delved substantially into describing my own research and opinions on the efficacy of the life saving drugs for HIV, but I am more skeptical than the press, doctors and ASOs are about their efficacy and the current treatment paradigms. I am not saying that I have the answers, I’m merely disturbed by the fact that there are so many doubts and questions to which I have not been able to obtain satisfactory answers. It is an essential component of informed consent to understand treatment decisions. But I’ll save that conversation for another day.
Doctors, while certainly very learned, have been known in the past to collectively accept scientific conclusions that were later proven false. For an example (but hardly the only one), do a search on Onanism for an interesting history on a common cause for a number of human conditions. We scoff now, but at the time this was all taken seriously. So I have proceeded with caution.
Bottom line: I find the idea that one can be forced to take medications to fly in the face of “informed consent” and I am amazed that any doctor would find it ethical to allow a patient to proceed in the face of such coercion. I guess I’ll just have to wait and see what actually happens.